<div id="main-content">
  <div class="container-fluid">
    <div class="row-fluid">
      <div class="span12">
        <div class="widget-block">
          <div class="widget-head">
            <h5><?php print $title?></h5>
          </div>
          <div class="widget-content">
            <div class="widget-box">
              <?php print $this->form_eksternal->form_open("", 'class="form-horizontal well"')?>
                <fieldset>
                  <div class="control-group">
                    <label class="control-label" for="input01">Kelompok Mahasiswa</label>
                    <div class="controls">
                      <?php print $this->form_eksternal->form_dropdown('kelompok', $list_kelompok, array(), 
                              'id="course_category"')?>
                    </div>
                  </div>
                  <div class="control-group">
                    <label class="control-label" for="input01">Course Category</label>
                    <div class="controls">
                      <?php print $this->form_eksternal->form_dropdown('course_category', $list_course_category, array($course_category), 
                              'id="course_category"')?>
                    </div>
                  </div>
                  <div class="control-group">
                    <label class="control-label" for="input01">Virtual Account</label>
                    <div class="controls">
                      <?php print $this->form_eksternal->form_dropdown('id_keuangan_mahasiswa_jenis_virtual_account', 
                              $this->global_models->get_dropdown("keuangan_mahasiswa_jenis_virtual_account", "id_keuangan_mahasiswa_jenis_virtual_account", "title", false), array(), 'class="input-xlarge" id="input01"')?>
                    </div>
                  </div>
                  <div class="form-actions">
                    <button type="submit" class="btn btn-info">Export</button>
                    <button class="btn" onclick="history.go(-1);return false;"><?php print lang("cancel")?></button>
                  </div>
                </fieldset>
              </form>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
</div>